Determination of HCV genotype by direct sequence analysis of quantitative PCR products

J Med Virol. 2003 Feb;69(2):202-6. doi: 10.1002/jmv.10284.

Abstract

Hepatitis C virus (HCV) genotyping, combined with quantitative evaluation of HCV RNA, may be beneficial for the management of chronic hepatitis C and in the selection of candidates for interferon treatment. In this study, the COBAS AMPLICOR HCV MONITOR test, a commercially available quantitative assay for HCV RNA, was used. Amplification products obtained from HCV-positive cases were subjected to direct sequencing and genotyping based on seven phylogenetically informative regions within the 5'UTR. Results were compared with those obtained by INNO-LiPA assay. Typing results yielded by both methods were in complete accordance for type and subtype assignment. Twenty-nine of 500 specimens (5.8%) were unclassifiable and belonged to samples with a titer of <70.000 IU, as determined by quantitative assay. Despite this limitation, the overall gain in efficiency, the low rate of test failure and a better resolution of mixed genotypes all constitute a considerable advantage of this system over the commercial hybridization technique for routine clinical laboratory use.

Publication types

  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • 5' Untranslated Regions / genetics
  • Genotype
  • Hepacivirus / classification*
  • Hepacivirus / genetics
  • Hepacivirus / isolation & purification
  • Hepatitis C, Chronic / diagnosis*
  • Hepatitis C, Chronic / virology
  • Humans
  • Nucleic Acid Hybridization / methods
  • Polymerase Chain Reaction / methods*
  • RNA, Viral / blood*
  • Reagent Kits, Diagnostic
  • Sequence Analysis, DNA*

Substances

  • 5' Untranslated Regions
  • RNA, Viral
  • Reagent Kits, Diagnostic